Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $92.84	Facility		$23.99	$23.99	$92.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $26.54 / $33.84	Professional		$22.82	$26.54	$33.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $58.29 / $58.29	Professional		$44.38	$58.29	$58.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $58.29	Facility		$43.99	$43.99	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $51.04	Professional		$32.11	$32.11	$51.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $58.29 / $110.75	Professional		$53.63	$58.29	$110.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $39.36	Professional		$39.36	$39.36	$39.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $92.84	Facility		$23.99	$23.99	$92.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $27.56 / $44.38	Professional		$22.82	$27.56	$44.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $83.10 / $114.80	Professional		$72.30	$83.10	$114.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $58.29	Facility		$43.99	$43.99	$58.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $69.38	Professional		$32.11	$32.11	$69.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $55.48 / $55.48	Facility		$41.68	$55.48	$55.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $55.48 / $56.88	Professional		$41.68	$55.48	$56.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $29.37 / $52.57	Professional		$22.31	$29.37	$52.57